Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Other names
Adult Medicine Physicians of LaGrange
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY MANN (DIRECTOR)
(630) 856-6884
Entity
Organization
Contact information
Practice address
5201 WILLOW SPRINGS RD, SUITE 150, LA GRANGE, IL 60525-6537
(708) 245-8120
(708) 245-8119
Mailing address
5201 WILLOW SPRINGS RD, SUITE 150, LA GRANGE, IL 60525-6537
(708) 245-8120
(708) 245-8119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208342
MEDICARE PTAN
—
Enumeration date
04/09/2012
Last updated
06/13/2017
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